NPI age
19 years
Enumerated 2006-06-23
Across 4616 active physician assistant providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 1005914 | AMERIGROUP |
| 05 (GA) | 057423998B | |
| 05 (GA) | 057423988A |
Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.
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